Jennifer, you recommended the right type of pump. There is often MORE profit from selling the Pump in Style than in renting the Lactina. This is a one shot sale vs. the headache of rentals when the second month rental fee is due or trying to get the pump returned. Both major manufacturers (Ameda and Medela) recommend rental or hospital grade breast pumps to establish a milk supply. The difference is supposedly in the rate of cycling and the long term durability of the motor. Mom can check the Medela and Ameda web sites and see for herself. Even the PIS user guide says this pump is not meant to establish a milk supply. When moms won't believe me (and I don't rent or sell pumps), I tell them to look for themselves and read it from the manufacturer. Besides that, in case mom is not successful at breastfeeding a rental makes more sense. She won't end up owning and selling or loaning out a pump she "hardly used." IBCLCs see lots of women who do much better once they get off the PIS and go to a rental. I have seen women double their supply from first using a PIS then going to a rental. I have heard others say the PIS is the same motor as the Lactina. Maybe this is true -- but what are the ethical considerations for recommending equiptment be used in ways that go against the manufacturer's stated intent or guidelines? In the case of a mom with large nipples, she should probably get the larger breast flanges. Medela's flanges have smaller "tunnels" than Ameda's and some women will not respond well if the areola isn't stimulated enough (from the flange tunnel hole being too small). Kathy Eng, BSW, IBCLC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html